Planning for implementation Name of presenter Prevention of Postpartum Hemorrhage Initiative...
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Planning for implementation Name of presenter Prevention of Postpartum Hemorrhage Initiative (POPPHI) Project PATH
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Planning for implementation
Name of presenter
Prevention of Postpartum Hemorrhage Initiative (POPPHI) ProjectPATH
Objectives
After completing this session, the participant will be able to
• Complete the Training Logbook
• Develop a training strategy for her/his facility
• Assist learners with developing a plan for completing the AMTSL course
• Monitor progress towards achieving 100% coverage for AMTSL
10-1
Keeping track of learners
Spend 5 minutes to review Appendix A (page 87 in the Mentor’s Guide)
• What aspects of learners and training activities will you need to keep track of?
– Learner’s name, cadre, date the course was commenced, date the learner was found competent on all of the skills
– each learner’s score on knowledge and skill assessments.
10-2
Possible training strategies
A. Train all providers at once
B. Train providers in groups of 2-4 and do not train other providers until the group has completed the entire course
C. Train providers in “shifts:”
• Week 1: 2 providers begin
• Week 2: 2 different providers begin
• Week 3: 2 different providers begin
10-3
Training Logbook – Strategy A
No NameProfessional
cadrePlace of
workDate training commenced
Date found competent
1 A Midwife Facility X June 29, 2009
2 B Physician Facility X June 29, 2009
3 C Midwife Facility X June 29, 2009
4 D Physician Facility X June 29, 2009
5 E Midwife Facility X June 29, 2009
6 F Midwife Facility X June 29, 2009
7 G Midwife Facility X June 29, 2009
8 H Midwife Facility X June 29, 2009
9 I Midwife Facility X June 29, 2009
10 J Midwife Facility X June 29, 2009
10-4
Training Logbook – Strategy B
No NameProfessional
cadrePlace of
workDate training commenced
Date found competent
1 A Midwife Facility X 29 / 6 / 2009 17/7/2009
2 B Physician Facility X 29 / 6 / 2009 17/7/2009
3 C Midwife Facility X 29 / 6 / 2009 10/7/2009
4 D Physician Facility X 29 / 6 / 2009 10/7/2009
5 E Midwife Facility X 13/7/2009 24/7/2009
6 F Midwife Facility X 13/7/2009 24/7/2009
7 G Midwife Facility X 20/7/2009 5/8/2009
8 H Midwife Facility X 20/7/2009 5/8/2009
9 I Midwife Facility X 27/7/2009 11/8/2009
10 J Midwife Facility X 27/7/2009 11/8/2009
10-5
Training Logbook – Strategy C
No NameProfessional
cadrePlace of
workDate training commenced
Date found competent
1 A Midwife Facility X 29 / 6 / 2009 17 / 7/2009
2 B Physician Facility X 29 / 6 / 2009 17 / 7/2009
3 C Midwife Facility X 6 / 7 / 2009 17 / 7/2009
4 D Physician Facility X 6 / 7 / 2009 17 / 7/2009
5 E Midwife Facility X 13 / 7 / 2009 31/ 7 / 2009
6 F Midwife Facility X 13 / 7 / 2009 31/ 7 / 2009
7 G Midwife Facility X 20 / 7 / 2009 31/ 7 / 2009
8 H Midwife Facility X 20 / 7 / 2009 31/ 7 / 2009
9 I Midwife Facility X 27 / 7 / 2009 14/8/2009
10 J Midwife Facility X 27 / 7 / 2009 14/8/2009
10-6
Training strategy
• Which strategy seems the most appropriate for your facility?
10-7
Sessions
Core Topics• Review of the third stage of labour and evidence for
use of AMTSL.• Review of uterotonic drugs.• Management of uterotonic drugs.• Causes and prevention of postpartum hemorrhage.• AMTSL.
Additional Topics• Infection prevention.• Birth preparedness and complication readiness.• Managing complications during the third stage of
labor.
10-8
Work in pairs
• Review the suggested course schedule and prepare to answer questions
• How long should it take to complete the self-paced portion of Session 1?
• How many clinical days are required?
• How many learning activities are there in Session 2a?
• How long should it take to complete the self-paced portion of Session 4?
• How many learning activities are there in Session 4?
• How long should it take to complete the self-paced portion of Session 3?
10-9
Suggested time to complete each session
10-10
TopicNumber of
learning activities Estimated
time
Review of the third stage of labor and evidence for use of AMTSL.
2 2 hours
Review of uterotonic drugs. 3 3 hours
Management of uterotonic drugs. 3 3 hours
Causes and prevention of postpartum hemorrhage.
4 4 hours
AMTSL. 6 6 hours
Infection prevention. 6 6 hours
Birth preparedness and complication readiness.
4 4 hours
Managing complications during the third stage of labor.
7 7 hours
Suggested course schedule
The schedule assumes that each learner will study about two (2) hours per day to work through the activities/exercises for each topic.
10-11
Turn to page 25 in the Mentor’s Guide
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Week 1
Review of the third stage of labor and evidence for use of AMTSL.
Causes and prevention of postpartum hemorrhage.
Review of uterotonic drugs.
Study and Review
Week 2Management of uterotonic drugs.
AMTSL. Study and Review
Week 3
Mid-course questionnaireDemonstrations, return demonstrations, clinical practice – 1 to 2 days
Orientation
Work in pairs - Develop a learning plan
Refer to page 1 in the Learner’s Notebook
• What information will need to be written in?
• How will you calculate due dates for each of the sessions?
• Why is it important to set due dates?
10-12
Turn to pages 51-53 in the Mentor’s Guide
10-13
Group Work: Developing a training strategy
• Work in groups by facility (45 minutes):
• Review pages 49-50 in the Mentor’s Guide – “Developing a training strategy”
• After reading together, make a strategy for your facility that includes:
How many providers will need to be trained?
How will you organize distribution of modules? (Strategy A, B, or C)
How will you advocate for clinical time for learners?
10-14
Monitoring (1)
• What data are needed to calculate:
– % of women who were offered and received AMTSL
o Number of vaginal births conducted at the facility
o Number of women who were offered and received AMTSL
10-15
Percentage of women in the health care facility who were offered and received AMTSL
10-16
Monitoring (2)
• What data are needed to calculate:
• % of providers practicing AMTSL to standard
Number of providers who received at least 80% when assessed using the checklist
Number of providers assessed during the month
10-17
Percentage of providers who practiced AMTSL to standard
10-18
Monitoring (3)
• What data are needed to calculate:
• % of cases of PPH in women who gave birth vaginally in the health care facility
Number of cases of PPH in women who gave birth vaginally in the health care facility
Number of women who gave birth vaginally in the health care facility
10-19
Percentage of cases of PPH in women who gave birth vaginally in the health care facility 10-20
Thank you!!!
10-21
